Arthroplasty and ORIF Pendleton OR

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Charles Thomas Weeks, MD
(541) 276-4642
1416 SE Court Ave
Pendleton, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1966
Hospital
Hospital: St Anthony Hospital, Pendleton, Or
Group Practice: Eastern Oregon Orthopaedic

Data Provided By:
Durk V Irwin, DDS
(541) 276-7819
610 SW Dorion Ave
Pendleton, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ronald Dean Wobig, MD
(541) 757-9021
1122 NE 2nd St
Corvallis, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1993
Hospital
Hospital: Good Samaritan Hosp, Corvallis, Or
Group Practice: Specialty Physicians & Surgeons Of Corvallis

Data Provided By:
Ronald Lee Lohman
(503) 571-4227
9900 Se Sunnyside Rd
Clackamas, OR
Specialty
Orthopedic Surgery

Data Provided By:
Paul Lockwood Sternenberg
(541) 779-6250
2780 E Barnett Rd
Medford, OR
Specialty
Hand Surgery

Data Provided By:
Bradley Scott Adams, MD
(541) 276-4642
1416 SE Ct
Pendleton, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1996

Data Provided By:
Morris Button
(503) 234-9287
5051 Se Hawthorne Blvd
Portland, OR
Specialty
Hand Surgery

Data Provided By:
Aaron Eugene Askew, MD
1310 NE Cushing Dr
Bend, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1996

Data Provided By:
Stanley L James
(541) 485-8111
55 Coburg Rd
Eugene, OR
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Dennis C Deming, DDS
(503) 644-6444
14025 SW Farmington Rd Ste 300
Beaverton, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
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Arthroplasty or ORIF: Which is Better for Elbow Fracture?

There is much debate among surgeons about the treatment of elbow fractures. In particular, fractures of the radial head can be difficult to manage. This article addresses those issues and tries to shed some light on the subject.

There are two bones in the forearm that meet at the elbow: the ulna and the radius. The ulna fits into the elbow socket while the radius swivels back and forth against the bottom of the humerus (upper arm).

The top of the radius is called the radial head. The head has a flat top to allow it to glide back and forth as the hand turns palm up and palm down. One-third of all elbow fractures occur at the radial head and neck. In many cases, the injury is caused by a fall on the outstretched hand and arm. The elbow dislocates, and the ligaments around the elbow are torn.

The big question is: should the elbow be repaired or replaced? Elbow joint replacement is called an arthroplasty. Repair is done with an operation called open reduction and internal fixation (ORIF). The authors describe both procedures in detail and discuss when to use each one.

Part of the problem in making this decision is the lack of studies comparing the two operations. And changes in the type of implants and methods used are occurring so fast that results of recent studies reported are already outdated.

The authors suggest that the surgeon must be prepared to make the final decision in the operating room. Fracture pattern and amount of soft tissue damage must be assessed before choosing the best way to stabilize the elbow and restore motion. They prefer the new precontoured implants for ORIF when it can be done easily. Complex injuries require radial head arthroplasty.

Future studies are needed comparing these two treatment options with long-term follow-up before best practice can be determined. Until this information is available, the surgeon must weigh all the factors and make the best decision possible. Keeping up with all the latest c...

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